Repair of an acquired diaphragmatic hernia with surgical mesh in a foal.
Abstract: A foal born with assisted delivery developed rib fractures and a diaphragmatic hernia. The hernia was repaired using surgical mesh. The filly was healthy 42 months later. Dystocia is a risk factor for rib fractures and traumatic acquired diaphragmatic herniation. Surgical mesh repair is an option for diaphragmatic defects. Un poulain né lors d’une parturition assistée a développé des fractures des côtes et une hernie diaphragmatique. La hernie a été réparée à l’aide d’un treillis chirurgical. La pouliche était en santé 42 mois plus tard. La dystocie est un facteur de risque pour les fractures des côtes et une hernie diaphragmatique acquise lors d’un traumatisme. Le treillis chirurgical est une option pour les défauts diaphragmatiques.(Traduit par Isabelle Vallières).
Publication Date: 2017-02-22 PubMed ID: 28216683PubMed Central: PMC5234313DOI: 10.1111/eve.12502Google Scholar: Lookup
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Summary
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The research recounts a case where a foal that was born through assisted delivery developed rib fractures and a diaphragmatic hernia, which was successfully treated using surgical mesh, with the foal showing complete recovery after 42 months. The study further identifies dystocia as a risk factor for rib fractures and traumatic acquired diaphragmatic herniation.
The Case of Diaphragmatic Hernia
- The study discusses a case where a foal – a horse that is less than one year old – experienced complications after being born through a process called dystocia, which is a difficult birth often requiring human intervention.
- Post-delivery, the foal developed fractures on its rib and a diaphragmatic hernia. A diaphragmatic hernia occurs when there is a tear or hole in the diaphragm, which is the muscle that separates the chest from the abdomen.
Treatment Using Surgical Mesh
- To treat the foal’s diaphragmatic hernia, the researchers chose to use a medical appliance called a surgical mesh.
- A surgical mesh is a loosely woven sheet which is used as either a permanent or temporary support for organs and other tissues during surgery.
- The surgical mesh was used to repair the hole in the foal’s diaphragm, hence treating the hernia.
Recovery and Check-Up
- Following the surgical treatment, the foal was monitored over a period of 42 months, which is over three and a half years.
- At the end of this period, the filly was found to be in healthy condition, suggesting that the treatment was successful.
Risk Factors and Repair Options
- This study suggests that dystocia is a potential risk factor for newborns to develop rib fractures and diaphragmatic hernias. Awareness of this can help veterinarians and horse breeders to prepare and manage delivery cases accordingly.
- The successful use of surgical mesh in this case also indicates that it could be an effective option for the repair of diaphragmatic defects in horses.
Cite This Article
APA
Kolus CR, MacLeay JM, Hackett ES.
(2017).
Repair of an acquired diaphragmatic hernia with surgical mesh in a foal.
Can Vet J, 58(2), 145-148.
https://doi.org/10.1111/eve.12502 Publication
Researcher Affiliations
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado 80523, USA.
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado 80523, USA.
- Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado 80523, USA.
MeSH Terms
- Animals
- Animals, Newborn
- Diaphragm / injuries
- Dystocia / veterinary
- Female
- Hernia, Diaphragmatic, Traumatic / surgery
- Hernia, Diaphragmatic, Traumatic / veterinary
- Horses
- Pregnancy
- Rib Fractures / veterinary
- Surgical Mesh / veterinary
- Treatment Outcome
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This article includes 20 references
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